COPD & Emphysema Support Group

COPD is a progressive disease characterized by airflow obstruction or limitation. Emphysema is characterized by loss of elasticity of the lung tissue, destruction of structures supporting the alveoli and of capillaries feeding the alveoli. Both have symptoms that include shortness of breath, among other respiratory troubles. If you are a COPD or Emphysema sufferer, join...

?'s about Spriva & Advair

From reading the posts of others I have noticed people saying they took Advair then switched to Spiriva. Or vice versa.

I am doing both and am wondering if this is par for the course or if I should mention it to my new doctor. Prior doctor put me on Spriva. New doctor put me on Advair...I refill prescriptions for both and take them faithfully thinking that is what I am supposed to do....

Also, has anyone had problems with their arthritis and Advair? I have this and disc degeneration and it seems to be getting worse. I wonder if the Advair could be aggravating it.

Joni, I think it's perfectly appropriate to be taking Spiriva and Advair at the same time. There are three entirely different drugs involved and they have different actions. I know this gets confusing, at least to me, and I have to keep reviewing it in my mind. But Advair is a combination of an inhaled corticosteroid and salmeterol, which is a long acting beta 2 adrenergic receptor agonist. The Spriva is a long acting anticholinergic bronchodilator.

Not to confuse matters, but I take basically the same thing, except that Advair isn't strong enough for me. I take Pulmicort in my nebulizer, which is the inhaled corticosteroid, and then I take Foradil, which is similar to Salmeterol. Then I take Spiriva, too. They all work together very well.

Looking at the side effects for Advair, they do list tingling and numbness in the arms, hands, legs and feet, but they don't list arthritis or joint pain. So I doubt if that's the culprit.

Remember, you've been having awfully damp weather, and that can really throw my arthritis into action. I've found that it is helpful to make sure that I have Turmeric in my diet. That's the yellow Indian spice that makes curry yellow. I actually take it in capsule form. I find it take the edge off of that feeling like my whole body aches. Also, I really recommend that you try a supplement with Glucosamine, Chondroitin, and Msm. It is very helpful, although it might take a week or two before you feel the difference. Also, one other thing, with the diet you're on, make sure you're getting enough minerals.

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